| NPI | 1043525686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FALON MILLER Occupational Therapist 267-408-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |